Why Bigger Isn’t Better When It Comes to Hospitals

NEWSMAX: ….According to Dr.[Chauncey] Crandall, the survey reflects across-the-board shifts in quality from larger hospitals to the smaller ones. One key measure of quality, he noted, is staffing. “Historically, there was more money in the system to hire properly trained nurses and other staff at the big clinics. But with today’s medical cuts, the hospitals that are doing better are the community ones with their smaller patient-to-nurse ratios,” he said…

Also, doctor turnover is greater at large hospitals, which can hurt patient care. “A famous heart surgeon will stay three or four years and then go to another large academic hospital, resulting in a constant shift of academic brain power,” said Dr. Crandall. “It’s like the NFL – the players jump from team to team…

“Also, larger institutions often rely more on medical students to furnish care. Historically, you had seasoned interns and residents who spent thousands of hours in hospitals and became well-trained. But the government stepped in and limited this, so now they are not getting the same quality of training as before,” Dr. Crandall said… (more)

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